Prevention of Future Deaths reports · 2018
Regulation 28 report to prevent future deaths, reference 2018-0242, written 26 Jul 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 26 Jul 2018 |
|---|---|
| Reference | 2018-0242 |
| Deceased | Herbert Francis |
| Coroner | Jonathan Layton |
| Coroner area | Carmarthenshire and Pembrokeshire |
| Category | Road (Highways Safety) related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | 1 |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1 CORONER AM Cabinet Secretary for Economy and Transport I am Jonathan Mark Layton senior coroner, for the coroner area of Carmarthenshire and Pembrokeshire. 2 CORONER’S LEGAL POWERS I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. 3 INVESTIGATION and INQUEST On 9th January 2018 I commenced an investigation into the death of Herbert John Bernard Francis. The investigation concluded at the end of the inquest on 26th July 2018. The conclusion of the inquest was road traffic collision. The medical cause of death was Ia multiple traumatic injuries Ib road traffic accident. 4 CIRCUMSTANCES OF THE DEATH (1) Herbert John Bernard Francis was driving his Skoda motor car along the B4313 towards the A40 road at Redstone Cross. (2) Mr Francis failed to stop at the junction with the A40 and collided with an articulated heavy goods vehicle being driven along the A40. (3) As a result of injuries sustained in the collision Mr Francis died at the scene. (4) At the inquest evidence was received from a collision investigation officer, namely rectified in the interests of public safety. , who identified road defects that he believed should be 5 CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. – (1) The approach to the main A40 from Redstone Road could be further enhanced with the introduction of road markings and early warning signs. That consideration should be given to the re-positioning of the national speed limit signs from their current location to closer to the mouth of the junction. (2) That both filter lanes on the A40 at this location should be made longer and wider. (3) That consideration should be given to lowering the speed limit along this stretch of road, or by placing advisory speed limit signs at the location to warn motorists of the upcoming bend and junction. (4) That filter lanes should also be introduced on the A40 for vehicles heading 1 westbound and intending to turn left onto Redstone Road. 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you have the power to take such action. 7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by the 23rd September 2018. I, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed. 8 COPIES and PUBLICATION I have sent a copy of my report to the Chief Coroner and to the following Interested Person: 2 Cwm Aur Llanilar Aberystwyth Ceredigion SY23 4NT I am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. 9 26th July 2018 Signed: J M Layton 2
1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.
Ken Skates AC/AM Ysgrifennydd y Cabinet dros yr Economi a Thrafnidiaeth Cabinet Secretary for Economy and Transport Ein cyf/Our ref KS/02354/18 Mark Layton H M Senior Coroner Carmarthenshire and Pembrokeshire hmcpembs@btconnect.com 15 August 2018 Dear Mark, Thank you for your email of 26 July enclosing your report following the inquest into the death of Mr Herbert John Bernard Francis. I acknowledge the very sad circumstances surrounding the death of Mr Francis and accept that in your opinion there is a risk of future deaths at this location unless appropriate action is taken. My officials are currently in the process of carrying out a three year speed limit review looking at road safety issues at over 600 sites on all trunk roads in Wales. I have asked my officials to ensure the concerns and recommendations raised in the report are considered as a priority as part of the review and addressed within the first tranche of sites reviewed during this financial year. Preliminary investigations have begun to develop further overtaking opportunities & safety improvements along the length of the A40. This includes improvements at Redstone Cross. These additional A40 improvements are included in the update of the National Transport Finance Plan (NTFP) (Page 17 ref ‘NEW2’). https://beta.gov.wales/sites/default/files/publications/2017-12/national-transport-finance- plan-2017-update.pdf Bae Caerdydd • Cardiff Bay Caerdydd • Cardiff CF99 1NA Canolfan Cyswllt Cyntaf / First Point of Contact Centre: 0300 0604400 Gohebiaeth.Ken.Skates@llyw.cymru Correspondence.Ken.Skates@gov.wales Rydym yn croesawu derbyn gohebiaeth yn Gymraeg. Byddwn yn ateb gohebiaeth a dderbynnir yn Gymraeg yn Gymraeg ac ni fydd gohebu yn Gymraeg yn arwain at oedi. We welcome receiving correspondence in Welsh. Any correspondence received in Welsh will be answered in Welsh and corresponding in Welsh will not lead to a delay in responding. We are currently looking about how these improvements can be packaged and when they can be delivered alongside other priorities in the NTFP. To date no programme has been established to deliver these improvements and one will be developed in due course. Yours sincerely, Ysgrifennydd y Cabinet dros yr Economi a Thrafnidiaeth Cabinet Secretary for Economy and Transport
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